Table 2 Demographic, cognitive and quality of life variables according to neuropsychological division.

From: Elderly patients have an altered gut-brain axis regardless of the presence of cirrhosis

 

Unimpaired (n = 23)

Amnestic type (n = 25)

Amnestic/non-amnestic type (n = 28)

P value

Age (years)

73.3 ± 4.4

71.9 ± 5.4

72.7 ± 5.9

0.77

Gender (% men)

55%

64%

60%

0.67

Education (years)

15.8 ± 2.7

16.8 ± 2.4

15.5 ± 2.9

0.12

Cirrhosis (%)

5 (22%)

12 (48%)

22 (78%)†,‡

<0.0001

Diabetes (%)

10 (43%)

7 (28%)

11 (39%)

0.51

Alcohol abuse history (%)

3 (13%)

6 (21%)

10 (36%)

0.18

Hypertension (%)

8 (35%)

11 (44%)

10 (36%)

0.76

Depression on SSRI (%)

4 (17%)

6 (24%)

6 (21%)

0.85

Hyperlipidemia (%)

7 (30%)

13 (52%)

8 (28%)

0.16

Mini-mental status

29 ± 1

28 ± 2

28 ± 1

0.02

HVLT

HVLT Total recall

25 ± 5

18 ± 4

19 ± 6‡

0.001

HVLT delayed recall

9 ± 2

3 ± 2

7 ± 2†

<0.0001

HVLT retention %

89 ± 18

45 ± 29

86 ± 27†

<0.0001

Similarities test

29 ± 4

26 ± 6

23 ± 6†,‡

0.02

RBANS

Total score

114.3 ± 13.0

94.1 ± 13.3

88.4 ± 17.6‡

<0.0001

Visuospatial

117.9 ± 14.0

102.1 ± 18.6

95.6 ± 14.9†,‡

<0.0001

Immediate Memory

103.7 ± 14.7

89.7 ± 12.1

86.5 ± 19.3‡

0.004

Language

103.3 ± 10.8

95.1 ± 7.3

92.5 ± 14.0‡

0.01

Attention

110.4 ± 12.9

109.1 ± 15.8

93.1 ± 15.4†,‡

0.001

Delayed Memory

109.3 ± 9.2

82.9 ± 18.4

88.4 ± 20.5‡

<0.001

EncephalApp Stroop

Stroop Off Time (sec)

82.0 ± 16.2

92.5 ± 26.1

109.4 ± 37.4†,‡

0.012

On Time (sec)

104.0 ± 38.9

114.0 ± 38.9

139.2 ± 58.9†,‡

0.05

Median runs On

5.0

5.5

6.0

0.31

Median runs Off

6.0

6.0

6.5

0.38

OffTime + OnTime (sec)

180.4 ± 36.3

184.4 ± 51.0

248.6 ± 90.4†,‡

0.003

PHES

Number connection-A (sec)

34.7 ± 10.9

44.6 ± 22.6

65.3 ± 42.5†,‡

0.006

Number connection-B (sec)

86.2 ± 33.4

111.0 ± 67.8

179.5 ± 115.9†,‡

0.002

Digit Symbol (raw score)

57.2 ± 14.9

48.9 ± 16.1

41.9 ± 21.7†,‡

0.03

Line Tracing test (sec)

104.8 ± 35.0

95.6 ± 42.3

121.3 ± 65.5

0.32

Line Tracing errors

25.3 ± 17.7

44.6 ± 42.4

39.5 ± 31.9

0.16

Serial dotting (sec)

54.5 ± 15.7

63.6 ± 32.9

86.6 ± 43.8†,‡

0.01

Median PHES

0

−3

−6†,‡

0.001

HRQOL assessments

SIP

Total score

1.4 ± 1.9

6.3 ± 7.5

11.1 ± 13.3†,‡

0.006

Psychosocial domain

1.4 ± 1.8

5.5 ± 5.8

9.0 ± 13.6†,‡

0.03

Physical domain

1.2 ± 2.5

5.5 ± 7.3

11.2 ± 13.5†,‡

0.005

Median Age-adjusted PROMIS scores

Anger

33.0

48.5

75.5†,‡

0.002

Anxiety

45.0

55.0

87.0†,‡

0.001

Depression

38.0

49.0

64.0†,‡

0.003

Fatigue

26.0

41.5

92.0†,‡

0.006

Physical function*

79.0

62.0

39.5†,‡

0.005

Social activity*

79.0

56.5

33.0†,‡

0.004

Social Role*

62.5

53.5

8.0†,‡

0.008

Sleep disturbance

33.0

37.5

73.0†,‡

0.005

Wake disturbances

26.0

62.5

85.0†,‡

0.003

  1. P value using ANOVA or Chi-square test as appropriate, *a low score on these PROMIS variables indicates worse function, while a low score on the others indicates good function. †p < 0.05 between amnestic/non-amnestic and amnestic type, ‡p < 0.05 between amnestic/non-amnestic and unimpaired. PHES: psychometric hepatic encephalopathy score, PROMIS: patient-reported outcome measurement information system, SIP: Sickness Impact Profile, HRQOL: Health-related quality of life, RBANS: repeatable battery for assessment of neuropsychological status, HVLT: Hopkins Verbal Learning Test.